早期干预对早产儿运动和智力发育的影响  

Effect of Early Intervention on Motor and Mental Development of Premature Infants

作　　者：吴满红[1] 常燕群[1] 李奎[2] 李容汉[1] 李贤英[1] 

机构地区：[1]广东省妇幼保健院神经康复科,广东广州市510010 [2]中山大学附属第三医院,广东广州市510010

出　　处：《中国康复理论与实践》2013年第3期261-262,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察早期干预对早产儿运动、智力发育的影响。方法 108例除外先天畸形和遗传代谢性疾病的早产儿分为干预组(n=57)和对照组(n=51)。对照组进行常规保健和预防接种,干预组在对照组的基础上从新生儿期起施行相应的早期干预。1岁及2岁时用贝利婴幼儿发展量表进行运动、智力评估,2岁时进行脑瘫筛查。结果两组各失访1例。干预组1岁及2岁时精神运动和智力发育指数均高于对照组(P<0.05),脑瘫发生率低于对照组(P<0.05)。结论早期干预能有效促进早产儿运动、智力的发育,降低脑瘫发病率。Objective To observe the effect of early intervention on motor and mental development in premature infants. Methods 108 cases of hospital-born premature infants were divided into early intervention group （n=57） and control group （n=51）. All the cases accepted conventional treatment and health-care, and the intervention group accepted the early intervention in addition. They were assessed with psy- chomotor development index （PDI） and mental development index （MDI） of Bayley Scales of Infant Development when they were 1 or 2 years old. The incidence of cerebral palsy when they were 2 years old were recorded. Results 2 cases （1 for each） lost during the follow-up. The PDI and MDI were more in the intervention group than in the control group （P〈0.05）, both as the 1 and 2 years old. The incidence of ce- rebral palsy was less in the intervention group than in the control group （P〈0.05）. Conclusion The early intervention can promote mental and motor development in premature infants, and reduce the incidence of cerebral palsy later.

关 键 词：早产儿 早期干预 脑性瘫痪 贝利婴幼儿发展量表 运动 智力 

分 类 号：R722[医药卫生—儿科]